Güler BERKİTEN, Güven YILDIRIM, Ziya SALTÜRK, Hilmi UĞRAŞ

Changes in audiometry results following laser therapy for tinnitus

Amaç: Tinnitusta lazer tedavisinin etkinliğini ve odyogramda meydana getirdiği değişiklikleri incelemek. Metod: Çalışmaya 30 hasta (15 kadın ve 15 erkek) dahil edildi. Tinnituslu kulaklara 650 nM dalga boyunda ve 5mW de lazer hafta içi her gün 20 dakika uygulandı. Hafta sonları ise ara verildi. Tedavi 8 hafta ve toplam 40 seans devam ettirildi. Saf ses odyometri 250-20000 Hz frekans aralığında tedaviye başlarken, hemen tedavi bitiminde ve 2 ay sonrasında yapıldı. Tinnitus skorlaması da tedaviye başlarken ve tedavi sonrası 2. ayda yapıldı. Elde edilen sonuçlar istatistik olrak karşılaştırıldı. Bulgular: Çalışmaya katılan hastaların 50% si erkek ve 50% si kadındı. Hastaların yaşları 20 ile 74 arasında değişmekte idi. 7 hastada sol kulakta ve 11 hastada sağ kulakta tinnitus mevcuttu. 12 hastada ise bilateral tinnitus vardı. Tedaviye başlarken, tedavi bitiminde ve tedaviden sonra 2. ayda elde edilen değerler karşılaştırıldı. En büyük farklılıklar 8000 Hz üzerindeki frekanslarda gözlemlendi. Lazer tedavisi sonrası odyometre sonuçlarında anlamlı farklılıklar saptandı (p

Tinnitusta lazer tedavi etkinliğinin odyogram ile değerlendirilmesi

Aim: To demonstrate the effect of laser therapy in the treatment of tinnitus with changes in audiometric results. Method: This current study included a total of 30 patients (15 females and 15 males). A laser with a 650 nm wave length at 5 mW was applied to the ear with tinnitus complaint on every consecutive week day for 20 minutes with a break on weekends. The process was continued for 8 weeks and a total of 40 sessions were performed. Pure tone audiometric evaluation between 250-20000 Hz frequency ranges was performed prior to the therapy and was repeated right after and two months after the treatment.Tinnitus scoring was performed before and two months after laser therapy. The results, obtained following therapy, were statistically evaluated. Result: 50% of the patients were female, and 50% were male. The patients’ ages were between 20 and 74. In 7 of the patients, tinnitus was in the left ear, in 11 patients in the right ear and in 12 it was bilateral. The audiometric values of the patients were evaluated in 3 different conditions which included the values before therapy, values after therapy and values at 2 months following treatment. A greater difference was observed particularly in the frequencies above 8000 Hz. A significant difference was also detected in audiometry results after laser therapy (p

PDF

___

1. Mattox, Douglas E. Assessment and management of tinnitus and hearing loss. Continuum: Lifelong Learning In Neurology 2006;12(4):135-50
2. Hahn A, Sejna I, Stolbova K, Cocek A. Combined laser-EGb 761 tinnitus therapy. Acta Otolaryngol Suppl 2001;545: 92-3
3. Hahn A, Radkova L, Achiemere G, Klement V, Alpini D, Strouhal J. Multimodal therapy for chronic tinnitus. Int Tinnitus J 2008;14(1):69-72
4. Teggi R, Bellini C, Fabiano B, Bussi M. Efficacy of lowlevel laser therapy in Ménière's disease: a pilot study of 10 patients. Photomed Laser Surg 2008;26(4):349-53.
5. Wilden L, Karthein R. Import of radiation phenomena of electrons and therapeutic low-level laser in regard to the mitochondrial energy transfer. J Clin Laser Med Surg 1998;16(3):159-65
6. Shiomi Y, Takahashi H, Honjo I, Kojima H, Naito Y, Fujiki N. Efficacy of transmeatal low power laser irradiation on tinnitus: a preliminary report. Auris Nasus Larynx 1997; 24(1):39-42
7. Kami T, Yoshimura Y, Nakajima T, Ohshiro T, Fujino T. Effects of low-power diode lasers on flap survival. Ann Plast Surg 1985;14(3):278-83
8. Schaffer M, Bonel H, Sroka R, Schaffer PM, Busch M, Reiser M, Dühmke E. Effects of 780 nm diode laser irradiation on blood microcirculation: preliminary findings on time-dependent T1-weighted contrast-enhanced magnetic resonance imaging (MRI). J Photochem Photobiol B 2000;54(1):55-60
9. Simunovic Z. Low level laser therapy with trigger points technique: a clinical study on 243 patients. J Clin Laser Med Surg 1996;14(4):163-7.
10. Nakashima T, Ueda H, Misawa H, Suzuki T, Tominaga M, Ito A, Numata S, Kasai S, Asahi K, Vernon JA, Meikle MB. Transmeatal low-power laser irradiation for tinnitus. Otol Neurotol 2002;23(3):296-300
11. Gungor A, Dogru S, Cincik H, Erkul E, Poyrazoglu E. Effectiveness of transmeatal low power laser irradiation for chronic tinnitus. J Laryngol Otol 2008;122(5):447-51.
12. Mirz F, Zachariae R, Andersen SE, Nielsen AG, Johansen LV, Bjerring P, Pedersen CB. The low-power laser in the treatment of tinnitus. Clin Otolaryngol Allied Sci 1999; 24(4):346-54